A new legislative proposal, Senate Bill 5291, aims to reshape the landscape of long-term care insurance in Washington State, addressing critical gaps in coverage and consumer protection. Introduced on March 5, 2025, the bill seeks to establish stricter regulations on supplemental long-term care insurance policies, particularly concerning preexisting conditions and the approval process for insurance forms.

At the heart of Senate Bill 5291 is a provision that prohibits insurance companies from defining "preexisting condition" more restrictively than a condition for which medical advice or treatment was received within six months prior to coverage. This change is designed to enhance access to care for individuals who may have previously been denied coverage due to stringent definitions of preexisting conditions. Additionally, the bill stipulates that insurers cannot exclude coverage for losses related to preexisting conditions unless they occur within six months of the policy's effective date.

The bill also introduces a requirement for insurance policies issued in other states to meet Washington's regulatory standards before being offered to residents. This move aims to ensure that all long-term care insurance products available in the state provide adequate consumer protections.

While the bill has garnered support from consumer advocacy groups who argue it will improve access to necessary care, it has faced opposition from some insurance industry representatives. Critics argue that the proposed regulations could lead to increased premiums and limit the availability of certain insurance products.

The implications of Senate Bill 5291 are significant, as it seeks to balance the need for comprehensive coverage with the financial realities of the insurance market. Experts suggest that if passed, the bill could lead to a more equitable insurance landscape, particularly for older adults and those with chronic health conditions.

As the legislative session progresses, stakeholders are closely monitoring the bill's journey through the Senate, anticipating potential amendments and debates that could shape its final form. The outcome of Senate Bill 5291 could set a precedent for long-term care insurance policies across the nation, making it a pivotal moment for both consumers and insurers alike.